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Commercial Health Plans and Networks
- Aetna (PPO, EPO, POS)
- Asmed Health Partnership (PPO)
- BCE Emergis (PPO, EPO, POS)
- Beech Street PPO
- Benefits Panel Services (BPS) (PPO, EPO, POS)
- Benefit Risk Management Services (PPO)
- Blue Cross of California (PPO, EPO, POS)
- Blue Cross Managed Medi-Cal (All counties)
- Blue Cross of California – Healthy Families
- Blue Shield of California (PPO, EPO,POS)
- California Children’s Services (CCS)
- Choice Care / Humana (PPO )
- CIGNA (PPO, EPO, POS, including PPO of Nevada)
- CommercAdmar (now under MultiPlan) (PPO & EPO)
- Community Breast Health Project (CBHP) Surgical Breast Biopsies Only
- Conventry Health Care (PPO, EPO)
- Conventry Health Care (Advanta Freedom Medicare)
- CorVel Corp (PPO)
- Definity (PPO ) / Choice Plus
- First Health (PPO, EPO)
- ForMost (PPO)
- Health Net (PPO, EPO, POS)
- Health Net Medicare Advantage
- Health Payors Organization (HPO) (PPO)
- Home Town Health Plans (PPO)
- Interplan (PPO, EPO, POS)
- Monterey Culinary Insurance Fund (PPO)
- Multiplan (PPO)
- PacifiCare Signature Independence Indemnity (PPO)
- PacificCare Signature (PPO, POS)
- PacificCare Options PPO
- Pacific Health Alliance (PHA) (PPO)
- Paschall & Associates (PPO)
- Physicians Foundation for Medical Care (PPO, EPO)
- PPO Next (formerly Health Network) (PPO)
- Private Health Care Systems (PHCS) (PPO, POS/Open Access)
- Santa Clara Family Health Plan
- U.S. Behavioral Health (Stanford University, SHC & LPCH, Cisco Systems Employees)
- United Health Care (UHC) Choice/Choice Plus, Definity (PPO)
- United Health Care (UHC) Indeminity / Managed Idemnity (PPO)
- United Payors & United Providers (PPO)
- United Resource Network (PPO)
- USA Managed Care Organization (PPO)
- Washington of Social and Health Services (Washington Medicaid)
- Wilson & Paschall PPO
Government Program Payors
- Medicare
Note: The originating hospital is responsible for any laboratory fees associated with the technical components (TC) of anatomic pathology referral services (CPT 88000-88400) provided to hospital inpatients or outpatients.
- Medi-Cal
- Tricare Extra (PPO)
- Tricare Standard (Idemnity)
- Tricare Prime (POS)
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